Key Information
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Title
Date(s)
- 1809-1982 (Creation)
Level of description
Series
Extent
105 volumes
Scope and content
Clinical and Surgical records of Guy's Hospital Medical College, 1823-1982, comprising patient registers for Guy's Hospital, namely admission registers for female patients, 1809-1833; clinical reports for male and female patients, 1823-1847; clinical case book, 1900; clinical cases index, 1911; female patients surgical register of John Hilton, Assistant Surgeon, 1846-1847; indexes of surgical cases, giving ward, admission and discharge dates, patients' name and disease, 1865-1899; case notes for children admitted to Evelina Hospital, 1949, under Dr Philip Evans; surgical case notes of Charles Hilton Fagge, 1904; index of cases of Dr William N Mann, 1956-1972; case reports of John Morgan, [1827]-1837; individual patient records, 1929, 1959-1960, 1982; diaries of House surgeons and physicians of Guy's Hospital, 1869-1904, comprising House Surgeons' diaries, 1883-1904, containing weekly summary reports of surgical cases admitted to the hospital, including number of admissions and operations performed; House Physicians' diaries, 1869-1889, Senior House Physician's diary, 1883-1891, Second House Physician's diaries, 1873-1890, containing brief daily reports of physicians' activities; 'diary of the senior in the Charity', 1873-1875, containing brief daily reports of mainly obstetrics and gynaecological cases admitted to Guy's Hospital; Senior Obstetrics Residents' diary, 1884-1892, containing weekly reports of cases and operations in 'Guy's Charity'.
General Information
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Script of material
Note
The earliest resident appointment for students of Guy's Hospital Medical School was the Lying-in Charity, which was established in 1833, when 'resident accoucheurs' were appointed. In 1849 three senior pupils were appointed 'resident obstetric clerks' and were provided with board and accommodation in one of the houses in Maze Pond. They were required to be ready at all times to assist the pupils who attended the deliveries in the district.
The first house surgeon at Guy's Hospital was appointed in 1856 and was required to be a member of the Royal College of Surgeons. He held office for six months, was resident in the hospital and in the absence of the Surgeons and Assistant Surgeons was responsible for the whole surgical side of the hospital. From 1857 the House Surgeon was required to keep a journal 'entering therein everything which occurs by day or by night within the Hospital' and present it to the Treasurer every morning. In 1865 a non-resident Assistant House Surgeon was appointed, and from 1878 he too was given board and residence at the hospital and assigned duties in the wards. Another Assistant House was appointed to share the work in Outpatients, but was not resident at the hospital.
The first resident House Physician was appointed in 1865 to assist the Resident Apothecary in the care of patients in the wards, and assist in the Outpatient Department for three days a week. In 1866 the outpatient work was assigned to an Assistant House Physician who was not resident. In 1873 a second resident House Physician was appointed. On the opening of the Residential College for students in 1890 the number of resident appointments increased and a resident assistant was appointed for each member of staff.
In 1846 it was made obligatory for all students of Guy's Hospital Medical School to report cases. In 1836 Guy's Society for Clinical Reports was established by pupils. The influence of Thomas Addison was instrumental in the development of regular case reporting and the establishment of the Clinical Report Society at Guy's Hospital. He insisted on a higher standard of work from his clinical clerks and by 1828 had established a regular method of case taking.